H_PHC_2017A 04/25/2017 01:30 PM Committee Summary

Date:	04/25/2017	ATTENDANCE
Time:	01:34 PM to 06:12 PM	Catlin	*
		Everett	X
Place:	HCR 0107	Ginal	X
		Hooton	*
This Meeting was called to order by		Landgraf	X
	Representative Singer	Lewis	X
		Liston	*
This Report was prepared by		Michaelson Jenet	X
	Anne Wallace	Pabon	*
		Pettersen	*
		Ransom	X
		Danielson	*
		Singer	X
		X = Present, E = Excused, A = Absent, * = Present after roll call

Bills Addressed:		Action Taken:
SB17-028 SB17-126 SB17-193 HB17-1343 HB17-1353		Referred to House Appropriations Amended, Referred to House Appropriations Referred to the Committee of the Whole Referred to House Appropriations Amended, Referred to the Committee of the Whole

01:35 PM -- SB 17-028



Representative Nordberg, bill sponsor, presented Senate Bill 17-028 to the committee. The reengrossed bill requires the Colorado Department of Human Services (DHS) and county departments of human services to:



• collect information concerning the military affiliation of any person who has custody or control of a child who is the subject of an investigation of child abuse or neglect; and

• provide the command authority of a military installation with notice of, and information about, reports of known or suspected child abuse that are assigned for assessment concerning a member of the armed forces assigned to that military installation or the spouse, significant other, or other family member who resides with that service member.



The DHS and county department may enter into memoranda of understanding with the command authority of military installations to establish protocols for information sharing and for collaboration on the oversight of child welfare investigations involving military personnel and their family members. The military installation shall only use information shared about an investigation for its intended purpose and must maintain confidentiality of the information. The State Board of Human Services must promulgate rules for implementation of this bill. Representative Nordberg responded to questions from the committee.











01:39 PM -- John Faught, The Kempe Foundation, testified in support of the bill. Mr. Faught responded to committee questions.



01:41 PM -- Martin Dempsey, Department of Defense, testified in support of the bill. Mr. Dempsey responded to committee questions.



01:46 PM -- Mary Berg, Jefferson County Human Services, testified in support of the bill.



01:49 PM



Representative Nordberg gave concluding remarks. Committee members commented on the bill.

BILL:	SB17-028
TIME:	01:54:21 PM
MOVED:	Landgraf
MOTION:	Refer Senate Bill 17-028 to the Committee on Appropriations. The motion passed on a vote of 12-1.
SECONDED:	Everett
		VOTE
	Catlin	Yes
	Everett	Yes
	Ginal	Yes
	Hooton	Yes
	Landgraf	Yes
	Lewis	No
	Liston	Yes
	Michaelson Jenet	Yes
	Pabon	Yes
	Pettersen	Yes
	Ransom	Yes
	Danielson	Yes
	Singer	Yes
Final YES: 12 NO: 1 EXC: 0 ABS: 0 FINAL ACTION: PASS

01:55 PM -- SB 17-126



Representative Hamner and Representative Willet, bill sponsors, presented Senate Bill 17-126 to the committee and distributed amendment L.007 (Attachment A). The reengrossed bill creates the Colorado Domestic Violence Fatality Review Board (board) in the Department of Law. The board is to be chaired by a designee of the Attorney General and shall include between 17 and 20 other members appointed by October 1, 2017. Members include representatives from the forensic, domestic violence, law enforcement, prosecutor, and judicial communities. Members serve without compensation, but may receive per diem and reimbursement for costs, subject to the availability of funds. The board is repealed as of September 1, 2022. The board is to convene its first meeting no later than November 1, 2017, and is charged with:



170425 AttachA.pdf170425 AttachB.pdf



• examining data collected by review teams during the preceding year;

• identifying measures to help prevent domestic violence fatalities and near-death incidents;

• establishing uniform methods for collecting, analyzing, and storing data relating to domestic violence fatalities and near-death incidents; and

• making annual reports and policy recommendations concerning domestic violence to the General Assembly on or before December 1, 2018, and each December 1 thereafter.



02:00 PM -- Jose Esquibel, Colorado Office of the Attorney General, testified in support of the bill. Mr. Esquibel responded to committee questions.



02:03 PM -- Scott Turner, Colorado Office of the Attorney General, testified in support of the bill. Mr. Turner responded to committee questions.



02:09 PM -- Margaret Abrams, Rose Andom Center, testified in support of the bill.



02:14 PM -- Rita Cotter, Family Tree and Colorado Coalition Against Domestic Violence, testified in support of the bill.



02:17 PM -- Shanna Mae Petersen, Denver Metro Domestic Violence Fatality Review Committee, testified in support of the bill. Ms. Petersen responded to committee questions.



02:23 PM -- Sterling Harris, Colorado Organization for Victim Assistance, testified in support of the bill. Ms. Harris responded to committee questions.



02:27 PM -- Jennifer Anderson, Colorado Office of the Attorney General, read the testimony of Jenn Doe, representing herself, in support of the bill.



02:31 PM



Representative Hamner explained amendment L.007 (Attachment A) to the committee.

BILL:	SB17-126
TIME:	02:33:13 PM
MOVED:	Michaelson Jenet
MOTION:	Adopt amendment L.007 (Attachment A). The motion passed without objection.
SECONDED:	Hooton
		VOTE
	Catlin
	Everett
	Ginal
	Hooton
	Landgraf
	Lewis
	Liston
	Michaelson Jenet
	Pabon
	Pettersen
	Ransom
	Danielson
	Singer
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

02:33 PM



Representatives Willet and Hamner gave concluding remarks on the bill.

BILL:	SB17-126
TIME:	02:37:56 PM
MOVED:	Danielson
MOTION:	Refer Senate Bill 17-126, as amended, to the Committee on Appropriations. The motion passed on a vote of 12-0, with one excused.
SECONDED:	Michaelson Jenet
		VOTE
	Catlin	Yes
	Everett	Yes
	Ginal	Yes
	Hooton	Yes
	Landgraf	Yes
	Lewis	Yes
	Liston	Yes
	Michaelson Jenet	Yes
	Pabon	Excused
	Pettersen	Yes
	Ransom	Yes
	Danielson	Yes
	Singer	Yes
Final YES: 12 NO: 0 EXC: 1 ABS: 0 FINAL ACTION: PASS

02:39 PM -- SB 17-193



Representative Pettersen and Representative Rankin, bill sponsors, presented Senate Bill 17-193 to the committee and distributed a handout (Attachment C). The reengrossed bill creates a research center (center) for substance abuse and addiction prevention strategies and treatment at the University of Colorado Health Sciences Center. The center's mission is to:



170425 AttachC.pdf

• establish or expand programs for research concerning abuse and addiction to opioids, other controlled substances, and alcohol;

• establish or expand treatments for opioids, other controlled substances, and alcohol;

• expand existing partnerships with national organizations with similar missions; and

• seek federal and private resources to further the center's activities.

The bill sponsors responded to questions from the committee.

03:07 PM -- Dr. Robert Valuck, Colorado Consortium on Substance Abuse Prevention, testified in support of the bill. Dr. Valuck responded to questions from the committee.

03:21 PM -- Marjorie Zimdars-Orthman, representing herself, testified in support of the bill.



03:26 PM -- Jose Esquibel, Colorado Office of the Attorney General, testified in support of the bill.

03:29 PM -- Dr. Aleah Horstman, Arapahoe House, testified in support of the bill. Dr. Horstman responded to committee questions.



03:35 PM



Representative Pettersen and Representative Rankin gave concluding remarks. Committee members commented on the bill.

BILL:	SB17-193
TIME:	03:45:39 PM
MOVED:	Pettersen
MOTION:	Refer Senate Bill 17-193 to the Committee on Appropriations. The motion passed on a vote of 9-3, with one excused.
SECONDED:	Ginal
		VOTE
	Catlin	Yes
	Everett	No
	Ginal	Yes
	Hooton	Yes
	Landgraf	Excused
	Lewis	Yes
	Liston	No
	Michaelson Jenet	Yes
	Pabon	Yes
	Pettersen	Yes
	Ransom	No
	Danielson	Yes
	Singer	Yes
Final YES: 9 NO: 3 EXC: 1 ABS: 0 FINAL ACTION: PASS

03:50 PM -- HB 17-1343



Representative Young, bill sponsor, presented House Bill 17-1343 to the committee and distributed two handouts (Attachments D and E). This bill, recommended by the Joint Budget Committee, implements conflict-free case management for people with intellectual and developmental disabilities who are enrolled in a Medicaid home- and community-based services (HCBS) waiver program. As defined in the bill, conflict-free case management refers to case management services provided by a case management agency that is a different agency from the one that provides services and supports to a client. Case management agencies must develop individualized plans for people enrolled in the HCBS waiver program. The state Medical Services Board must promulgate rules pertaining to the certification of case management agencies and the process by which people can select the case management agency of their choice.



170425 AttachD.pdf170425 AttachE.pdf



No later than July 1, 2018, the Department of Health Care Policy and Financing (HCPF) must determine the options for community-centered boards to become compliant with conflict-free case management. The bill further outlines a timeline for community-centered boards to alter their business plans and attain compliance with conflict-free case management. No later than June 30, 2022, all clients receiving HCBS must be served through a system of conflict-free case management. Under this bill, HCPF is authorized to seek a federal exemption from conflict-free case management requirements for geographic areas where the only entity willing to provide case management services is also the only entity capable of providing HCBS in that area.



03:58 PM



Megan Davisson, Joint Budget Committee Staff, summarized the bill for the committee. Ms. Davisson and Representative Young responded to committee questions.



04:06 PM -- Edward Arnold, representing himself, testified in support of the bill.



04:10 PM -- Maureen Welch, representing herself, testified in support of the bill. Ms. Welch responded to committee questions.



04:13 PM -- Gretchen Hammer and Dave DeNovellis, HCPF, testified in support of the bill. Ms. Hammer responded to committee questions.



04:23 PM -- Lori Ropa, The Arc of Jefferson County, testified in support of the bill.



04:26 PM -- Carol Meredith, The Arc of Arapahoe and Douglas Counties, testified in support of the bill.



04:29 PM -- Marijo Rymer, The Arc of Colorado, testified in support of the bill.





04:35 PM



Representative Young gave concluding remarks on the bill.

BILL:	HB17-1343
TIME:	04:37:21 PM
MOVED:	Michaelson Jenet
MOTION:	Refer House Bill 17-1343 to the Committee on Appropriations. The motion passed on a vote of 9-0, with four excused.
SECONDED:	Ginal
		VOTE
	Catlin	Yes
	Everett	Yes
	Ginal	Yes
	Hooton	Yes
	Landgraf	Excused
	Lewis	Yes
	Liston	Excused
	Michaelson Jenet	Yes
	Pabon	Yes
	Pettersen	Excused
	Ransom	Yes
	Danielson	Yes
	Singer	Excused
Final YES: 9 NO: 0 EXC: 4 ABS: 0 FINAL ACTION: PASS

04:44 PM -- HB 17-1353



Representative Young, bill sponsor, presented House Bill 17-1353 to the committee and distributed two handouts (Attachments F and G). The bill, recommended by the Joint Budget Committee, provides a statutory framework and sets forth requirements for the existing Accountable Care Collaborative (ACC) for the Medicaid program in the Department of Health Care Policy and Financing (HCPF) and authorizes performance payments to Medicaid providers. Specifically, the bill requires that the ACC:



170425 AttachF.pdf170425 AttachG.pdf





• establish primary care medical homes for Medicaid clients within the ACC;

• provide regional care coordination and provider network support;

• provide data to regional entities and providers to help manage client care;

• integrate the delivery of behavioral health and physical health services;

• connect primary care with specialty care and nonhealth community supports;

• promote client choice and engagement;

• utilize innovative care models and provider payment models as part of the care delivery system, including capitated managed care models;

• receive feedback from stakeholder groups;

• establish a flexible structure for the ACC that allows for efficient operations and future expansion to include long-term care and supports; and

• establish a care delivery system and provider payment platform that can adapt to changes in federal funding models or funding levels.



In addition, the bill requires HCPF to report to the Joint Budget Committee and the Health and Human Services Committees of the General Assembly by December 1, 2017, and each December 1 thereafter, about the ACC, including the number of clients served, performance results and health impacts, administrative fees and program costs, fiscal performance, activities in rural and frontier counties, waste reduction, and various other aspects of the ACC. The first report must also list additional statutory changes needed to align the statewide managed care system with federal regulations on managed care.



Representative Young responded to committee questions. Amendments L.001, L.009, and L.010 were distributed to the committee (Attachments H, I, and J).



170425 AttachH.pdf170425 AttachI.pdf170425 AttachJ.pdf



04:57 PM -- Betsy Murray, Home Care Association, testified in support of the bill with amendments.



05:06 PM -- Gretchen Hammer and Shane Moffert, HCPF, testified in support of the bill. Mr. Moffert responded to committee questions.



05:12 PM -- Aubrey Hill, Center for Health Progress, testified in support of the bill and distributed a handout (Attachment K).



170425 AttachK.pdf



05:16 PM -- Sarah Barnes, Colorado Children's Campaign, testified in support of the bill.



05:19 PM -- Frank Cornelia, Colorado Behavioral Health Council, testified in support of the bill.



05:22 PM -- Arnold Salazar, Colorado Behavioral Health Council, testified in support of the bill and distributed two handouts to the committee (Attachment L and M).



170425 AttachL.pdf170425 AttachM.pdf









05:25 PM -- Joshua Ewing, Colorado Hospital Association, testified on the bill.



05:28 PM -- Ryan Biehle, Colorado Academy of Family Physicians, testified in support of the bill.



05:31 PM -- Jennifer Miles, Colorado Community Health Network, testified in support of the bill.



05:37 PM



Representative Landgraf distributed amendment L.004 (Attachment N) and explained it to the committee.



170425 AttachN.pdf

BILL:	HB17-1353
TIME:	05:39:01 PM
MOVED:	Landgraf
MOTION:	Adopt amendment L.004 (Attachment N). The motion passed without objection.
SECONDED:	Ransom
		VOTE
	Catlin
	Everett
	Ginal
	Hooton
	Landgraf
	Lewis
	Liston
	Michaelson Jenet
	Pabon
	Pettersen
	Ransom
	Danielson
	Singer
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection

05:41 PM



Representative Young gave concluding remarks. Committee members commented on the bill.





05:41 PM



The committee went into recess.



06:10 PM



Representative Singer called the meeting back to order.

BILL:	HB17-1353
TIME:	06:10:14 PM
MOVED:	Ginal
MOTION:	Refer House Bill 17-1353, as amended, to the Committee of the Whole. The motion passed on a vote of 7-6.
SECONDED:	Pettersen
		VOTE
	Catlin	No
	Everett	No
	Ginal	Yes
	Hooton	Yes
	Landgraf	No
	Lewis	No
	Liston	No
	Michaelson Jenet	Yes
	Pabon	Yes
	Pettersen	Yes
	Ransom	No
	Danielson	Yes
	Singer	Yes
Final YES: 7 NO: 6 EXC: 0 ABS: 0 FINAL ACTION: PASS

06:12 PM



The committee adjourned.